Individual
SHANTEL FARRAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
314 RIDGELY ST, LARGO, MD 20774-1929
(301) 254-3354
Mailing address
314 RIDGELY ST, LARGO, MD 20774-1929
(301) 254-3354
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133003256
VA
Other
Enumeration date
10/04/2023
Last updated
10/16/2024
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